Kairos Inside Leader Ratification
Name of Regional Committee
*
Please Select
AMC Alex Maconochie - KI
Bathurst - KI
Clarence - KI
Dillwynia - KI
Fulham - KI
Goulburn - KI
John Morony - KI
Junee - KI
Lotus Glen - KI
Mannus - KI
Mid North Coast (Men) - KI
Mid North Coast (Women) - KI
Mobilong - KI
Parklea - KI
Port Augusta - KI
South Coast - KI
Southern Qld - KI
St Heliers - KI
Tamworth - KI
Wacol - KI
Select from dropdown
Name of Chair of Regional Committee
*
First Name
Last Name
Chair of Regional Committee Email (Kairos email only)
*
Chair Email - example@kairos.org.au
Name of person to be Ratified as Leader
*
First Name
Last Name
Does this application require special permission to be a Leader?
*
Yes
No
If Yes, what are the circumstances?
What KI Short Course will they be leading?
*
Include number
Do you know the start date for the Program?
*
Yes
No
If no, when do you think it will start approximately?
*
Approximate date
If yes, what is the start date and finish date?
*
On which Short Course were they Observing Leader
*
Include number
Has the Regional Committee agreed for this person's name to be put forward?
*
Yes
No
If yes, date Regional Committee agreed
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Day
-
Month
Year
Date
Has this person completed Advanced Kairos Training (AKT)?
*
Yes
No
Not sure
If yes, what date was AKT Completed
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Day
-
Month
Year
If already completed
If no, when will they complete Advanced Kairos Training?
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Day
-
Month
Year
If booked for the future
Any comments regarding AKT for this person?
4th Day Movement Experience
*
Cursillo
Emmaus
Other
None
If no 4th Day experience, has the person been mentored by a Kairos person?
Yes
No
Church currently attending
*
Church Name
Church involvement
*
Kairos Inside Experience
What teams have they served on? (Must be at least 3 teams)
*
What team positions have they had? (Must include having been on a table, been an Observing Leader and either an Inside Coordinator, Head Servant or Agape Leader)
*
What talks and meditations have they done? (At least 2 talks required - one can be a meditation - as long as it is not "The Rooster Story" or "The Wall")
*
What qualities do you see in this person that has led you to recommend they be ratified as a leader?
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Why do you believe that this person has a heart for Kairos and will be prepared to follow Kairos requirements for running the training and the Short Course? Do you have any concerns?
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Has the Chair of the Regional Committee explained to the proposed Leader their responsibilities to the Regional Committee, Code of Conduct and WH&S requirements?
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Yes
No
Who will be the Advising Leader?
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First Name
Last Name
When did they last lead?
*
Is the Advising Leaders AKT up to date as per the following requirements? (Note that the Advising Leader does not have to do AKT if they have led within the last 12 months. Otherwise, they need to do another AKT unless their previous AKT was within 2 years of the Short Course they will be Advising Leader for).
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Yes
No
Please confirm your State Council
*
Queensland
New South Wales
South Australia
Western Australia
Victoria
State Chair Email
Application will be sent to this email
Signature of Regional Committee Chair
*
Use your mouse or finger to sign
Date of signing
*
-
Day
-
Month
Year
Date
Submit
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